评估"right@home"随机试验的护士家庭访问使用链接的行政数据在学校过渡
Anna Price1,2,3, Jiaxin Zhang3,4, Sharon Goldfeld1,2,3
1Centre for Community Child Health, The Royal Children's Hospital, Parkville, VIC 3052, Australia.
International journal of population data science
|April 10, 2025
概括
护士家庭访问 (NHV) 改善了孩子的发展和在过渡时期的服务使用. 这项长期研究强调了NHV作为家庭普遍医疗保健的关键组成部分.
科学领域:
- 儿童健康 儿童健康
- 孕产妇健康 孕产妇健康
- 公共卫生干预措施 公共卫生干预措施
- 医疗保健服务研究 医疗服务研究
背景情况:
- 护士家访 (NHV) 旨在减少儿童和母亲的健康不平等.
- 对NHV的长期评估受到样本消耗的挑战.
- 行政数据为NHV试验中的综合结果评估提供了一个解决方案.
研究的目的:
- 评估 right@home NHV 计划对儿童健康,发展和服务利用的长期影响.
- 通过使用相关的行政数据,比较NHV组与常规护理之间的结果.
- 评估NHV在普遍医疗保健环境中的影响.
主要方法:
- 一项随机试验 (right@home) 涉及722名经历逆境的孕妇.
- 相关的行政数据 (幼儿园发展检查,学校入学者健康问卷) 用于结果评估.
- 使用针对相关因素调整后的回归模型进行治疗意向分析.
主要成果:
- 56.5% (塔斯马尼亚) 和52.0% (维多利亚州) 的儿童获得了相关数据.
- 有关数据的儿童显示,不良事件的患病率更高,结果更差.
- NHV增加了幼儿园发展检查成绩和卫生服务使用,对其他SEHQ结果的影响较小.
结论:
- NHV在儿童发展和在过渡到学校时使用服务方面显示出好处.
- 这些发现支持NHV作为通用卫生服务的关键组成部分.
- 根据家庭的需要,NHV提供了有价值的支持.
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